Attachment #3: Participant Response Form
NOTE: All blanks must be completed in order for this form to be accepted. This response issubject to all such guidelines, policies and procedures of GlobalPlatform, Inc. (“GlobalPlatform”) as
may currently be in force. This form is to be completed on behalf of each Member which is
Enrolled (as defined in the Process and Procedures Manual). All capitalized terms used in thisform are intended to have the meanings given to them in the IPR Policy.
NAME OF MEMBER(“MEMBER”):___________________________________________NAME OF PERSONCOMPLETING THIS(“REPRESENTATIVE”):___________________________________________

MAILING ADDRESS OF
REPRESENTATIVE:___________________________________________EMAIL ADDRESS OF
REPRESENTATIVE:___________________________________________

SPECIFICATION OR
AMENDMENT TO WHICH
THIS FORM RELATES (THE“SPECIFICATION”):___________________________________________A.

The Representative hereby represents the following on behalf of him/herself and theMember, as the context requires:
1.

The Representative is authorized on behalf of the Member to make the following
representations and warranties.

2.

The Member has reviewed the current Intellectual Property (IPR) Policy (the “Policy”)
and Process and Procedures Manual of GlobalPlatform, Inc. (together with the Policy,
the “IPR Documents”, current copies of which have been distributed to eachEnrolled Member) and agrees that it will fully comply with the IPR Documents.
All capitalized terms used but not defined in this form shall have the meanings
ascribed to them in the Policy.

3.

The Member hereby irrevocably agrees that if the Specification is finally approved by
GlobalPlatform, then subject to the terms and provisions of the Policy, including
without limitation, Section 1.6 (Patent Searches) and Section 1.2j
(Irrevocability/Amendments) (please check one blank, but only a blank for an option
permitted under the Charter of this Committee, Working Group or Task Force):

GlobalPlatform IPR Policy v527

(a) _____ the Member hereby makes a RAND-Free Commitment with respect to all
Necessary Claims Owned by it or any of its Subsidiaries under theSpecification for the purpose of implementing it;(b) _____ the Member hereby makes a RAND-OSS Commitment with respect toall Necessary Claims Owned by it or any of its Subsidiaries under theSpecification for the purpose of implementing it;(c) _____ the Member hereby makes a RAND-Royalty Commitment with respect
to all Necessary Claims Owned by it or any of its Subsidiaries under theSpecification for the purpose of implementing it and also states one of
the following (please check one blank):(i) _____ identified on Exhibit A in accordance with the Policy and theProcess and Procedures are the specific Patent claim(s)and/or other IPR which are Owned by the Member or anyof its Subsidiaries which the Member asserts would be
Necessary Claims and the specific portion(s), section(s) andsubsection(s) of the Specification which would result in theinfringement; or(ii) _____ the Representative is also the “member designee”, as definedin the GlobalPlatform Process and Procedures Manual, andis unaware of any Patent claims that would be Necessary
Claims or other IPR of the Member (or any of its
Subsidiaries) that would be necessarily infringed;(d) _____ identified on Exhibit A in accordance with the Policy and the Processand Procedures are the specific Patent claim(s) which are Owned by theMember or any of its Subsidiaries which the Member asserts would beNecessary Claims and the specific portion(s), section(s) and subsection(s)of the Specification which would result in the infringement. TheMember additionally states that (please check one blank):or(i) _____ no guarantee of the appropriate license rights is being made;(ii) _____ such rights will be denied in some or all cases.

4.

B.

The Representative is not aware of any claim(s) in any Patents or other IPR of any
third party which would be necessarily infringed by the implementation of theSpecification. If the Representative is aware of any such potential infringement, then
the Representative has described, to the best of his/her knowledge, in accordancewith the Policy and the Process and Procedures, such infringement and the related
IPR in Exhibit B, together with any supporting documentation which may be readily
available to the Representative.

GlobalPlatform, in accepting this form, acknowledges that the representation required inparagraph A.4 above is being solicited purely for informational purposes, and that

GlobalPlatform IPR Policy v528

GlobalPlatform. will not be relying on such representation or otherwise holding the Member
responsible for its accuracy.
This Participant Response Form has been submitted on _____________, 201__.
Name of Member:______________________________

By:______________________________[Signature of Representative]

Name of Representative: ____________________________

GlobalPlatform IPR Policy v5

29

Exhibit A to the Participant Response Form

Disclosed IPR
Jurisdiction and Patent
NumberGlobalPlatform IPR Policy v5

Necessary Claim

30

Effected Portion of Standard

Exhibit B to the Participant Response Form

Disclosed Third Party IPR
Jurisdiction and Patent
NumberGlobalPlatform IPR Policy v5Necessary Claim

31

Effected Portion of Standard

Attachment #4: Non-Participant Response Form
NOTE: All blanks must be completed in order for this form to be accepted. This response issubject to all such guidelines, policies and procedures of GlobalPlatform, Inc. (“GlobalPlatform”) as
may currently be in force. This form is to be completed on behalf of each Member which is not
Enrolled (as defined in the Process and Procedures Manual).

A.

NAME OF MEMBER(“MEMBER”):__________________________________________NAME OF PERSONCOMPLETING THIS(“REPRESENTATIVE”):__________________________________________

MAILING ADDRESS OF
REPRESENTATIVE:__________________________________________EMAIL ADDRESS OF
REPRESENTATIVE:__________________________________________

SPECIFICATION OR
AMENDMENT TO WHICH
THIS FORM RELATES (THE“SPECIFICATION”):__________________________________________The Representative hereby represents the following on behalf of him/herself and theMember, as the context requires:
1.

The Representative is authorized on behalf of the Member to make the following
representations and warranties.

2.

The Member has reviewed the current Intellectual Property (IPR) Policy (the“Policy”) and Process and Procedures Manual of GlobalPlatform, Inc. (together withthe Policy, the “IPR Documents”, current copies of which have been distributed toeach Enrolled Member) and agrees that it will fully comply with the IPR Documents.
All capitalized terms used but not defined in this form shall have the meanings
ascribed to them in the Policy.

3.

The Member hereby irrevocably agrees that if the Specification is finally approved by
GlobalPlatform, then subject to the terms and provisions of the Policy, including
without limitation, Section 1.6 (Patent Searches) and Section 1.2j
(Irrevocability/Amendments) (please check one blank, but only a blank for an option
permitted under the Charter of this Committee, Working Group or Task Force):

GlobalPlatform IPR Policy v532

(a) _____ the Member hereby makes a RAND-Free Commitment with respect toall Necessary Claims Owned by it or any of its Subsidiaries under theSpecification for the purpose of implementing it;(b) _____ the Member hereby makes a RAND-OSS Commitment with respect toall Necessary Claims Owned by it or any of its Subsidiaries under theSpecification for the purpose of implementing it;(c) _____ the Member hereby makes a RAND-Royalty Commitment with respect
to all Necessary Claims Owned by it or any of its Subsidiaries under theSpecification for the purpose of implementing it and also states one ofthe following (please check one blank):(i) _____ identified on Exhibit A in accordance with the Policy and theProcess and Procedures are the specific Patent claim(s)and/or other IPR which are Owned by the Member or anyof its Subsidiaries which the Member asserts would beNecessary Claims and the specific portion(s), section(s) andsubsection(s) of the Specification which would result in theinfringement; or(ii) _____ the Representative is also the “member designee”, as definedin the GlobalPlatform Process and Procedures Manual, andis unaware of any Patent claims that would be NecessaryClaims or other IPR of the Member (or any of itsSubsidiaries) that would be necessarily infringed;(d) _____ identified on Exhibit A in accordance with the Policy and the Processand Procedures are the Patent claim(s) which are Owned by the Member(or any of its Subsidiaries) which the Member asserts would be Necessary
Claims and the specific portion(s), section(s) and subsection(s) of theSpecification which would result in the infringement. The Member
additionally states that (please check one blank):(i) _____ no guarantee of appropriate license rights is being made; or(ii) _____ such rights will be denied in some or all cases.
4.

B.

The Representative is not aware of any claim(s) in any Patents or other IPR of any
third party which would be necessarily infringed by the implementation of theSpecification. If the Representative is aware of any such potential infringement, then
the Representative has described, to the best of his/her knowledge, in accordancewith the Policy and the Process and Procedures, such infringement and the related
IPR in Exhibit B, together with any supporting documentation which may be readily
available to the Representative.

GlobalPlatform, in accepting this form, acknowledges that the representation required inparagraph A.4 above is being solicited purely for informational purposes, and that
GlobalPlatform will not be relying on such representation or otherwise holding the Member

GlobalPlatform IPR Policy v533

responsible for its accuracy.
This Non-Participant Response Form has been submitted on _____________, 201__.
Name of Member:______________________________

By:______________________________[Signature of Representative]

Name of Representative: ____________________________

GlobalPlatform IPR Policy v534

Exhibit A to the Participant Response Form

Disclosed IPR
Jurisdiction and Patent
NumberGlobalPlatform IPR Policy v5

Necessary Claim

35

Effected Portion of Standard

Exhibit B to the Participant Response Form

Disclosed Third Party IPR
Jurisdiction and Patent
NumberGlobalPlatform IPR Policy v5

Necessary Claim

36

Effected Portion of Standard